CNUR 302 med theory and
calculations Practice Exam and All
Actual Detailed Answers 2025-2026
Set.
Tube feeding nursing procedure - Answer Confirmation #, PEG, no whoosh, flush q4-6h with 4-
6 mL of water, oral stimulation, NG- 12 mL syringe, 5-10 mL air bolus, measure residuals q4h x
48 h, q8h for 5 days= PRN- residuals <1/2 volume previous feed, reinstall, > 1/2 notify Dr.
continuous <2, signs of intolerance- increased irritability, occlusions of PEG-J- irrigate with 10-20
mL of warm water- meds 5-10 mL of warm water, gastrostomy tube balloon may be less than
adult recommendation, never have > 5mL inserted into balloon unless noted by family
Tracheostomy Nursing Procedure - Answer care before meal, or 2 hr after, need 2 people,
change ties twice a week or sooner if wet/soiled- should be able to to insert tip of little finger
under the tie, suction- 80-120 mmHg, no more than 0.5 cm beyond the end of the tube
Acetaminophen safe doses - Answer Daily dose: Limit daily dose to greater to less than or
equal to 75 mg/kg/day (maximum of 5 daily doses), without exceeding 4000 mg/day.
PO for pain- 10-15 mg/kg/dose every 4-6 hours PRN, Children 6-11: 325 mg every 4-6 hours,
maximum daily dose of 1 625 mg/day. Children >12: regular strength of 650 mg every 4-6 hours,
maximum daily dose of 3250 mg/day, extra strength- 1000 mg q 6 hours, maximum daily dose
of 3000 mg/day, extended released- 1 300 mg every 8 hours, maximum dose of 3 900mg/day
IV- <2 years- <50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose every 4 hours; maximum
single dose: 15 mg/kg up to 750 mg; maximum daily dose: 75 mg/kg/day not to exceed 3,750
mg/day. >2 years- <50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose every 4 hours;
maximum single dose: 15 mg/kg up to 750 mg; maximum daily dose: 75 mg/kg/day not to
exceed 3,750 mg/day. ≥50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose every 4 hours;
maximum single dose: 15 mg/kg up to 1,000 mg; maximum daily dose: 75 mg/kg/day not to
exceed 4,000 mg/day. Adolescents- <50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose
every 4 hours; maximum single dose: 15 mg/kg up to 750 mg; maximum daily dose: 75
mg/kg/day not to exceed 3,750 mg/day.≥50 kg: 1,000 mg every 6 hours or 650 mg every 4
hours; maximum single dose: 1,000 mg; maximum daily dose: 4,000 mg/day
Rectal- Infants 6 to 11 months: 80 mg every 6 hours; maximum daily dose: 320 mg/day.
Infants and Children 12 to 36 months: 80 mg every 4 to 6 hours; maximum daily dose: 400
mg/day.
, Doses are altered when used with opioids. Wi
Acetaminophen info - Answer Available in oral suspension, chewable tablets, caplet/tablet
extended release, parenteral, and rectal- use syringe, IV
Used for fever and pain management. Can be used for anxiety in emergency medical systems
Considerations- give with food to prevent GI upset, prophylactic use is not recommended, if the
dosing is not correct, there is a risk for hepatoxicity
Side Effects- n/v, trouble sleeping, liver problems, changes in urine
Mechanism of action- inhibits CNS pathways
Acetaminophen peak, duration and onset - Answer Half life is different but other than that,
onset, peak and duration are the same
Onset of action:
Oral: <1 hour
IV: Analgesia: 5 to 10 minutes; Antipyretic: Within 30 minutes
Peak effect: IV: Analgesic: 1 hour
Duration:
IV, Oral: Analgesia: 4 to 6 hours
IV: Antipyretic: ≥6 hours
Time to peak, serum: Oral: Immediate release: 10 to 60 minutes (may be delayed in acute
overdoses); IV: 15 minutes
Pulmicort info - Answer corticosteroid, anti-inflammatory- used for maintenance therapy and
prophylaxis of asthma, Considerations- provide/teach oral hygiene, inhale deeply, protect from
sunlight, may cause adrenal suppression, bronchospasms, hypersensitivity reactions,
immunosuppression, oral candidiasis or vasculitis, may cause a reduction in growth velocity (use
the lowest titrated dose), use gradual tapering to get off of the medication
Side effects- nosebleed, common cold symptoms, throat irritation, nose irritation, adrenal gland
problems, cushing syndrome, infection, chest pain, anxiety, severe diarrhea/nausea, vomiting,
lack of appetite
Mechanism of action- controls the rate of protein synthesis and depresses the migration of
leukocytes, fibroblasts, and reverses capillary permeability and lysosomal stabilization at the the
cellular level to prevent or control inflammation
Onset of action: Nebulization: 2 to 8 days; Inhalation: 24 hours
Peak effect: Nebulization: 4 to 6 weeks; Inhalation: 1 to 2 weeks
calculations Practice Exam and All
Actual Detailed Answers 2025-2026
Set.
Tube feeding nursing procedure - Answer Confirmation #, PEG, no whoosh, flush q4-6h with 4-
6 mL of water, oral stimulation, NG- 12 mL syringe, 5-10 mL air bolus, measure residuals q4h x
48 h, q8h for 5 days= PRN- residuals <1/2 volume previous feed, reinstall, > 1/2 notify Dr.
continuous <2, signs of intolerance- increased irritability, occlusions of PEG-J- irrigate with 10-20
mL of warm water- meds 5-10 mL of warm water, gastrostomy tube balloon may be less than
adult recommendation, never have > 5mL inserted into balloon unless noted by family
Tracheostomy Nursing Procedure - Answer care before meal, or 2 hr after, need 2 people,
change ties twice a week or sooner if wet/soiled- should be able to to insert tip of little finger
under the tie, suction- 80-120 mmHg, no more than 0.5 cm beyond the end of the tube
Acetaminophen safe doses - Answer Daily dose: Limit daily dose to greater to less than or
equal to 75 mg/kg/day (maximum of 5 daily doses), without exceeding 4000 mg/day.
PO for pain- 10-15 mg/kg/dose every 4-6 hours PRN, Children 6-11: 325 mg every 4-6 hours,
maximum daily dose of 1 625 mg/day. Children >12: regular strength of 650 mg every 4-6 hours,
maximum daily dose of 3250 mg/day, extra strength- 1000 mg q 6 hours, maximum daily dose
of 3000 mg/day, extended released- 1 300 mg every 8 hours, maximum dose of 3 900mg/day
IV- <2 years- <50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose every 4 hours; maximum
single dose: 15 mg/kg up to 750 mg; maximum daily dose: 75 mg/kg/day not to exceed 3,750
mg/day. >2 years- <50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose every 4 hours;
maximum single dose: 15 mg/kg up to 750 mg; maximum daily dose: 75 mg/kg/day not to
exceed 3,750 mg/day. ≥50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose every 4 hours;
maximum single dose: 15 mg/kg up to 1,000 mg; maximum daily dose: 75 mg/kg/day not to
exceed 4,000 mg/day. Adolescents- <50 kg: 15 mg/kg/dose every 6 hours or 12.5 mg/kg/dose
every 4 hours; maximum single dose: 15 mg/kg up to 750 mg; maximum daily dose: 75
mg/kg/day not to exceed 3,750 mg/day.≥50 kg: 1,000 mg every 6 hours or 650 mg every 4
hours; maximum single dose: 1,000 mg; maximum daily dose: 4,000 mg/day
Rectal- Infants 6 to 11 months: 80 mg every 6 hours; maximum daily dose: 320 mg/day.
Infants and Children 12 to 36 months: 80 mg every 4 to 6 hours; maximum daily dose: 400
mg/day.
, Doses are altered when used with opioids. Wi
Acetaminophen info - Answer Available in oral suspension, chewable tablets, caplet/tablet
extended release, parenteral, and rectal- use syringe, IV
Used for fever and pain management. Can be used for anxiety in emergency medical systems
Considerations- give with food to prevent GI upset, prophylactic use is not recommended, if the
dosing is not correct, there is a risk for hepatoxicity
Side Effects- n/v, trouble sleeping, liver problems, changes in urine
Mechanism of action- inhibits CNS pathways
Acetaminophen peak, duration and onset - Answer Half life is different but other than that,
onset, peak and duration are the same
Onset of action:
Oral: <1 hour
IV: Analgesia: 5 to 10 minutes; Antipyretic: Within 30 minutes
Peak effect: IV: Analgesic: 1 hour
Duration:
IV, Oral: Analgesia: 4 to 6 hours
IV: Antipyretic: ≥6 hours
Time to peak, serum: Oral: Immediate release: 10 to 60 minutes (may be delayed in acute
overdoses); IV: 15 minutes
Pulmicort info - Answer corticosteroid, anti-inflammatory- used for maintenance therapy and
prophylaxis of asthma, Considerations- provide/teach oral hygiene, inhale deeply, protect from
sunlight, may cause adrenal suppression, bronchospasms, hypersensitivity reactions,
immunosuppression, oral candidiasis or vasculitis, may cause a reduction in growth velocity (use
the lowest titrated dose), use gradual tapering to get off of the medication
Side effects- nosebleed, common cold symptoms, throat irritation, nose irritation, adrenal gland
problems, cushing syndrome, infection, chest pain, anxiety, severe diarrhea/nausea, vomiting,
lack of appetite
Mechanism of action- controls the rate of protein synthesis and depresses the migration of
leukocytes, fibroblasts, and reverses capillary permeability and lysosomal stabilization at the the
cellular level to prevent or control inflammation
Onset of action: Nebulization: 2 to 8 days; Inhalation: 24 hours
Peak effect: Nebulization: 4 to 6 weeks; Inhalation: 1 to 2 weeks
